1
|
Lim J, Housley SB, Drumsta D, Spiro RM. Chronic epidural hematoma presenting with diplopia. Surg Neurol Int 2021; 12:420. [PMID: 34513184 PMCID: PMC8422440 DOI: 10.25259/sni_480_2021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2021] [Accepted: 08/04/2021] [Indexed: 11/24/2022] Open
Abstract
Background: Epidural hematomas are common intracranial pathologies secondary to traumatic brain injuries and are associated with overlying skull fractures up to 85% of the time. Although many require immediate surgical evacuation, some are observed for stability and followed up conservatively with serial imaging or enlarge slowly overtime, similar to chronic subdural hematomas. Those in the latter category may present with vague symptoms such as diplopia or headache and are often found on routine outpatient evaluation. When concerning findings such as significant mass effect are present, surgical evacuation is necessary. Case Description: Here, we present the case of a 32-year-old man who presented with diplopia 6 weeks after experiencing head trauma and was found to have a chronic epidural hematoma. On resection, thick, inflammatory tissue was observed and carefully resected, revealing normal dura underneath. Six weeks after evacuation of the hematoma, the patient had near-complete resolution of his diplopia and complete resolution of his epidural hematoma. Conclusion: Given the consistency and nature of the fibrous material observed intraoperatively in this case, near-complete resection of the tissue was likely necessary to help facilitate adequate reexpansion of brain parenchyma and improve clinical outcomes.
Collapse
Affiliation(s)
- Jaims Lim
- Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, United States.,Department of Neurosurgery, Erie County Medical Center, Buffalo, New York, United States
| | - Steven B Housley
- Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, United States.,Department of Neurosurgery, Erie County Medical Center, Buffalo, New York, United States
| | - Douglas Drumsta
- Department of Diagnostic Radiology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, United States.,Department of Radiology, Eric County Medical Center, Buffalo, New York, United States
| | - Richard M Spiro
- Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, United States.,Department of Neurosurgery, Erie County Medical Center, Buffalo, New York, United States.,Department of Diagnostic Radiology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, United States
| |
Collapse
|
2
|
de Oliveira Sillero R, Zanini MA, Gabarra RC. Large chronic epidural hematoma with calcification: a case report. THE JOURNAL OF TRAUMA 2007; 64:1619-21; discussion 1621. [PMID: 17554219 DOI: 10.1097/01.ta.0000209403.56867.09] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Rafael de Oliveira Sillero
- Department of Neurosurgery, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, Brazil.
| | | | | |
Collapse
|
3
|
Upadhyay P, Srivastav A. Supra- and infratentorial acute extradural haematoma. INDIAN JOURNAL OF NEUROTRAUMA 2007. [DOI: 10.1016/s0973-0508(07)80015-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
|